Guest guest Posted June 25, 2012 Report Share Posted June 25, 2012 I am a RN in a Coronary Care Unit. I just found out another of my co-workers had a stroke and a cornea detachment from uncontrolled high blood pressure. He has had high blood pressure for 30 years. He also has the LVH, CKD, and decreased EF. He was admitted to the CCU and they were giving him norvasc, hctz, hydralazine, imdur, and labetolol 20mg q4 prn still with bp of 150/90 or higher. He is 100lbs soak and wet so they couldn't put it on his weight. Last I heard they called in a Nephro, and he ordered a 24 urine. Potassium was also low. Now how likely is it that two people from one unit develop a rare disease? I have a plan and I will present it to the Chief of residents. Everyday the residents and interns have noon conference. I will print out Dr Grims PA evolution and present a paper on PA. This is absolutely ridiculous and shameful that people are dying and being maimed for lack of a 4 dollar a month pill from Walmart. I don't understand why physicians are forgetting about Spiro? Why? In my 20 years of HBP not one doctor recommended Spiro. I have seen tons and tons of people with low potassium and uncontrolled blood pressure. I wonder if Spiro would have helped them. 5yo AAF 20yr of BP 170/100-220/120. Previous 7 BP pills, hx. htn, chf previous EF 20% now 50%, cardiomyapathy, lvh, cva, sarcoidosis- no residual except slight expressive aphasia, current meds Spiro 25mg, Benicar 20mg bid, dashing Phyllis Quote Link to comment Share on other sites More sharing options...
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